COUNSELING CENTER OF SANTA MONICA - A PSYCHOLOGICAL CORPORATION
NPI 1235716978
Substance Abuse Rehabilitation Facility in Lake Elsinore, CA

Q: What is Counseling Center Of Santa Monica - A Psychological Corporation's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since March 27, 2021

3611 LAKE CREST DR, LAKE ELSINORE, CA 92530(951) 457-2493 Get Directions Write a Review

NPPES record last updated: March 27, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Counseling Center Of Santa Monica - A Psychological Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNSELING CENTER OF SANTA MONICA - A PSYCHOLOGICAL CORPORATION (NPI 1235716978), doing business as Lake Detox, is a healthcare organization registered as a substance abuse rehabilitation facility in Lake Elsinore, California and active in the NPI registry since March 2021. The organization lists Reuben Vaisman-tzachor, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1235716978

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameCOUNSELING CENTER OF SANTA MONICA - A PSYCHOLOGICAL CORPORATION

Location Address3611 LAKE CREST DRLake Elsinore, CA 92530-7982

Mailing Address1731 Barry Ave Apt 112Los Angeles, CA 90025-4090

Phone(951) 457-2493

Organization SubpartNo

Authorized OfficialReuben Vaisman-tzachorClinical Director · (310) 477-6000

Enumeration DateMarch 27, 2021

NPPES CertifiedMarch 27, 2021

✔ NPI 1235716978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

3611 LAKE CREST DR, Lake Elsinore, CA 92530

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Other Names 1

Doing Business AsLake Detox

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Counseling Center Of Santa Monica - A Psychological Corporation's NPI number?

The NPI number for Counseling Center Of Santa Monica - A Psychological Corporation is 1235716978. It was assigned to this organization in the NPPES registry on March 27, 2021. The provider is doing business as Lake Detox.

Where is Counseling Center Of Santa Monica - A Psychological Corporation located?

Counseling Center Of Santa Monica - A Psychological Corporation is located at 3611 Lake Crest Dr, Lake Elsinore, CA 92530. The listed phone number is (951) 457-2493.

What is Counseling Center Of Santa Monica - A Psychological Corporation's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Counseling Center Of Santa Monica - A Psychological Corporation was last updated on March 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.